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Criteria for return to running after anterior cruciate ligament reconstruction: a scoping review
Univ Jean Monnet, France; Sport Ctr, France.
Linköping University, Department of Medical and Health Sciences, Division of Physiotherapy. Linköping University, Faculty of Medicine and Health Sciences. La Trobe Univ, Australia.ORCID iD: 0000-0001-8102-3631
Univ Paris, France; Arts and Metiers ParisTech, France.
French Sch Publ Hlth EHESP, France; INSERM, France.
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2018 (English)In: British Journal of Sports Medicine, ISSN 0306-3674, E-ISSN 1473-0480, Vol. 52, no 22, p. 1437-1444Article, review/survey (Refereed) Published
Abstract [en]

Objective To describe the criteria used to guide clinical decision-making regarding when a patient is ready to return to running (RTR) after ACL reconstruction. Design Scoping review. Data sources The MEDLINE (PubMed), EMBASE, Web of Science, PEDro, SPORT Discus and Cochrane Library electronic databases. We also screened the reference lists of included studies and conducted forward citation tracking. Eligibility criteria for selecting studies Reported at least one criterion for permitting adult patients with primary ACL reconstruction to commence running postoperatively. Results 201 studies fulfilled the inclusion criteria and reported 205 time-based criteria for RTR. The median time from when RTR was permitted was 12 postoperative weeks (IQR=3.3, range 5-39 weeks). Fewer than one in five studies used additional clinical, strength or performance-based criteria for decision-making regarding RTR. Aside from time, the most frequently reported criteria for RTR were: full knee range of motion or amp;gt;95% of the non-injured knee plus no pain or pain amp;lt;2 on visual analogue scale; isometric extensor limb symmetry index (LSI)amp;gt; 70% plus extensor and flexor LSIamp;gt; 70%; and hop test LSIamp;gt; 70%. Conclusions Fewer than one in five studies reported clinical, strength or performance-based criteria for RTR even though best evidence recommends performance-based criteria combined with time-based criteria to commence running activities following ACL reconstruction.

Place, publisher, year, edition, pages
BMJ PUBLISHING GROUP , 2018. Vol. 52, no 22, p. 1437-1444
National Category
Physiotherapy
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URN: urn:nbn:se:liu:diva-153381DOI: 10.1136/bjsports-2017-098602ISI: 000451277600012PubMedID: 29720478OAI: oai:DiVA.org:liu-153381DiVA, id: diva2:1271800
Available from: 2018-12-18 Created: 2018-12-18 Last updated: 2018-12-18

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CiteExportLink to record
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